person
Mr. David Kenneth Jackson, ABOC
Optician in Baltimore, Maryland
NPI 1851566467

David Kenneth Jackson is a Optician based in Baltimore, MD and is specialized in Optician. David Kenneth Jackson practices in Baltimore, MD and has the professional credentials of ABOC. The NPI Number for David Kenneth Jackson is 1851566467 and holds a License No. 072195 (Maryland).

The current practice location address for David Kenneth Jackson is 4200 Elderon Ave, Baltimore, MD and can be reached out via phone at 410-664-4508 and via fax at 410-664-0605.

Location: 4200 Elderon Ave, Baltimore, MD, 21215-4802
person
Provider Profile Details
NPI Number
1851566467
Provider Name
David Kenneth Jackson
Credential
ABOC
Provider Entity Type
Individual
Gender
Male
Address
4200 Elderon Ave, Baltimore, MD, 21215-4802
Phone Number
410-664-4508
Fax Number
410-664-0605
Provider Enumeration Date
04/24/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4200 Elderon Ave
City
State
Zip
21215-4802
Phone Number
410-664-4508
Fax Number
410-664-0605
person
Provider Business Mailing Address Details
Address
4200 Elderon Ave
City
State
Zip
21215-4802
Phone Number
410-664-4508
Fax Number
410-664-0605
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
072195 (Maryland)
Definition
Definition to come...
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